Individual
RAVI R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 STOCKTON ST, JACKSONVILLE, FL 32204-3402
(904) 355-2121
(904) 355-2123
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME93231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000334200
—
FL
01
—
48234
BCBS INDIVIDUAL
FL
01
—
P00767507
RAILROAD MEDICARE
FL
Enumeration date
07/27/2006
Last updated
05/27/2022
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